| 基金项目:国家重点研发计划项目《医养结合支持解决方案研究》(2018YFC2002400);2017年中南大学教育教学改革研究项目(2017jy109);中南大学湘雅医院2017年度医院管理研究基金资助项目(2017GL03) |
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| 中文摘要: |
| 目的 调查了解护理实习生转型冲击与职业认知、应对方式的相关关系，探讨影响转型冲击的各个因素，为制订护理实习生应对临床转型冲击的方案提供参考意见。方法 采用一般情况调查表与新护士转型冲击评价量表、护士职业认知调查量表、简易应对方式量表对湖南省18家院校的护理实习生进行横断面调查。收回数据均采用SPSS 18.0统计软件进行处理。转型冲击多因素分析采用多元线性回归分析。结果 护理实习生转型冲击总体得分为（64.49±16.33）分；转型冲击与职业认知呈负相关（r=-0.433，P<0.01），与积极应对呈负相关（r=-0.263，P<0.01）；职业认知程度、拟获学历、专业选择原因、积极应对是影响护理实习生转型冲击的主要因素（P=0.00，R2=0.21）。结论 护理实习生转型冲击处于中等水平，与职业认知程度、积极应对呈较强的负相关关系。院校教师与临床导师应重视和关注护理实习生因转型冲击所导致的迷茫、困惑、怀疑及定位不明的感受和体验，帮助护理实习生提高职业认知并学会积极应对转型冲击问题，提高护理临床实习教学培养质量。 |
| 英文摘要: |
| Objective To analyze the relationship between transition shock of nursing interns and occupational cognition and coping styles, and explore the factors affecting the status quo of nursing interns transformation, so as to provide guidance for the development of nursing students to respond to clinical transition shock. Methods A cross-sectional survey of nursing students in Hunan Province was conducted among nursing interns from 18 colleges and universities in Hunan Province by using the General Demographic Data Questionnaire and the Transition Shock of Newly Graduated Nurses Scale, the Nurses' Professional Cognitive Survey Scale, and the Simplified Coping Style Questionnaire. The collected data were processed by SPSS 18.0 software, and multivariate linear regression analysis was performed to analyze the influencing factors of the shock. Results The overall scores of nursing students transition shock were (64.49±16.33) points, while the transition shock was negatively correlated with occupational cognition (r=-0.433, P<0.01) and positive response (r=-0.263, P<0.01). And the occupational cognition, proposed academic qualification, reason for choosing nursing profession and positive response were the main factors affecting the transition shock of nursing students (P=0.00, R2=0.21). Conclusion The transition shock of nursing students is at the middle level, and has a strong negative correlation with the nursing students' occupational cognition and positive response. School teachers and clinical instructors should pay attention to the confusion, suspicion and unclear feelings and experiences caused by the transition shock of nursing students, helping nursing students to improve their occupational cognition, and learning how to positively respond to the transition shock problem, thereby improving the quality of clinical internship teaching and training of nursing students. |
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